Individual
KIMBERLY ROSE GLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11750 W ZERO RD, CASPER, WY 82604-9540
(307) 247-9749
Mailing address
11750 W ZERO RD, CASPER, WY 82604-9540
(307) 247-9749
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/10/2010
Last updated
04/10/2010
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